Interventional Pain Medicine最新文献

{"title":"While prediction of treatment outcome is possible on day 4, the technical epidural approach and steroid selection may make a difference","authors":"Bensu Tavelli, Merve Sekizkardes Tutuncu, Savas Sencan, Serdar Kokar, Osman Hakan Gunduz","doi":"10.1016/j.inpm.2025.100544","DOIUrl":"10.1016/j.inpm.2025.100544","url":null,"abstract":"","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100544"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A staged approach to treating chronic low back and radicular pain: Basivertebral nerve ablation in conjunction with surgical decompression: A case report","authors":"Joanna Faughender,&nbsp;Phillip Koehler,&nbsp;Paul Kitei,&nbsp;Victor Hsu,&nbsp;David Stolzenberg","doi":"10.1016/j.inpm.2025.100545","DOIUrl":"10.1016/j.inpm.2025.100545","url":null,"abstract":"<div><div>Low back pain is the leading cause of disability worldwide and the course of treatment patients and clinicians pursue to help alleviate it can be difficult at times. When conservative approaches fail, patients may ultimately require surgical intervention. In the presence of predominant axial back pain of discogenic and/or vertebrogenic origin without deformity or spinal instability, fusion surgery is less likely to reliably result in an optimal outcome for the patient. Literature is growing in support of vertebrogenic pain as a primary etiology of axial low back pain, with the degenerated vertebral endplates and their associated basivertebral nerve as a therapeutic target. Intraosseous basivertebral nerve ablation is a minimally invasive treatment for treating chronic, axial low back pain that is attributed to pathologically degenerated vertebral endplates that has been shown to significantly improve pain and overall function in patients. Furthermore, patients with predominantly axial low back pain with associated neuropathic lower extremity pain can benefit from a staged approach utilizing intraosseous basivertebral nerve ablation in conjunction with traditional decompressive surgery.</div></div>","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100545"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Practical tips for delivering high impact live virtual lectures in interventional pain medicine","authors":"David Hao M.D.,&nbsp;Ryan Dodge M.D.,&nbsp;Alexander Kuo M.D.,&nbsp;Keith Baker M.D, Ph.D,&nbsp;Daniel Saddawi-Konefka M.D., M.B.A","doi":"10.1016/j.inpm.2025.100543","DOIUrl":"10.1016/j.inpm.2025.100543","url":null,"abstract":"","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100543"},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Percutaneous pulsed radiofrequency treatment of the splanchnic nerves for chronic flank pain secondary to non-obstructive nephrolithiasis","authors":"Edward Kim,&nbsp;Ratan K. Banik","doi":"10.1016/j.inpm.2025.100541","DOIUrl":"10.1016/j.inpm.2025.100541","url":null,"abstract":"<div><div>Chronic benign flank pain of unknown etiology presents a significant challenge for pain physicians, especially when interventional treatment options are limited. We report the case of a 26-year-old male with a history of chronic left flank pain, recurrent non-obstructing nephrolithiasis, and a complex urologic background, who was referred to pain management after failing to find relief through previous urologic interventions. Despite the absence of new obstructing stones, the patient's pain persisted. Initial splanchnic nerve blocks using 0.25 % bupivacaine and dexamethasone provided temporary relief, leading to the decision to proceed with pulsed radiofrequency (RF) treatment of the left splanchnic nerves. Under fluoroscopic guidance, the pulsed RF procedure resulted in significant pain reduction, which lasted for four to six months. Over the course of four years, the procedure was repeated six times, providing sustained relief and allowing the patient to resume normal activities, including school and work. This case highlights the potential effectiveness of pulsed RF as a viable option for managing refractory chronic flank pain when other treatments have failed.</div></div>","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100541"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can chemical-induced aseptic meningitis cause intractable headache following intrathecal pump placement?","authors":"Baris Alten ,&nbsp;Frederic Reuther ,&nbsp;Courtney Gilbert ,&nbsp;David Hao","doi":"10.1016/j.inpm.2025.100540","DOIUrl":"10.1016/j.inpm.2025.100540","url":null,"abstract":"","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100540"},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the effectiveness of genicular radiofrequency ablation for chronic knee pain using the patient-reported outcomes measurement information system (PROMIS) global health-physical health domain: Results of a cross-sectional cohort study","authors":"Todd K. Brown ,&nbsp;Marc A. Caragea ,&nbsp;Margaret Beckwith ,&nbsp;Amelia Ni ,&nbsp;Ling Chen ,&nbsp;Tyler Woodworth ,&nbsp;Michael Blatt ,&nbsp;Cole Cheney ,&nbsp;Daniel Carson ,&nbsp;Keith Kuo ,&nbsp;Dustin Randall ,&nbsp;Emily Y. Huang ,&nbsp;Andrea Carefoot ,&nbsp;Megan Mills ,&nbsp;Amanda N. Cooper ,&nbsp;Allison Glinka Przybysz ,&nbsp;Taylor Burnham ,&nbsp;Aaron M. Conger ,&nbsp;Zachary L. McCormick","doi":"10.1016/j.inpm.2024.100539","DOIUrl":"10.1016/j.inpm.2024.100539","url":null,"abstract":"<div><h3>Objective</h3><div>Evaluate the effectiveness of genicular nerve radiofrequency ablation (GNRFA) for chronic knee pain using the Patient-Reported Outcomes Measurement Information System Global Health, Physical Health score (PROMIS-GH-PH).</div></div><div><h3>Methods</h3><div>Patients who underwent GNRFA at a tertiary academic center were identified by CPT code query and contacted for consent. Demographic, clinical, and procedural characteristics were collected from the electronic medical record of participants with baseline PROMIS-GH-PH scores. Outcome data were collected by standardized telephone survey. Treatment success was defined as a ≥2.3-point improvement in PROMIS-GH-PH score (the minimal clinically important difference [MCID]). Predictor variables of PROMIS score change were evaluated using univariate and multivariate linear regression analyses.</div></div><div><h3>Results</h3><div>32 patients (65.6 % female; 63.7 ± 10.7 years of age) met eligibility criteria and consented to be included in the study. In this cohort, 56.3 % (18/32; 95 % CI: 37.7–73.6) of patients reported improvement ≥ MCID on PROMIS-GH-PH at a mean follow-up time of 21.5 ± 10.6 months. Linear regression analysis demonstrated that patients who never smoked and those with a Kellgren-Lawrence (KL) osteoarthritis grade of 4 had significantly greater PROMIS-GH-PH score improvements at follow-up compared to current or former smokers and patients with KL grades of 0–3, respectively.</div></div><div><h3>Conclusion</h3><div>In this real-world cross-sectional cohort study, over 56 % of participants experienced improvment ≥ MCID on PROMIS-GH-PH after undergoing GFRNA for chronic knee pain. Non-smoking status and radiographically severe osteoarthritis were associated with greater PROMIS-GH-PH score improvements from baseline.</div></div>","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100539"},"PeriodicalIF":0.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence assisted virtual reality training module for Gasserian ganglion block","authors":"Oranicha Jumreornvong ,&nbsp;David Chang ,&nbsp;Gonzalo Povea Galdo ,&nbsp;Jason Yong ,&nbsp;Rohan Jotwani","doi":"10.1016/j.inpm.2024.100536","DOIUrl":"10.1016/j.inpm.2024.100536","url":null,"abstract":"","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100536"},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143049297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are gadolinium-based contrast media safe alternatives to iodinated contrast agents for the safe performance of spinal injection procedures?","authors":"Minh Nguyen ,&nbsp;Patricia Zheng ,&nbsp;Mathew D. Paluck ,&nbsp;Adrian Popescu ,&nbsp;Jaymin Patel ,&nbsp;Zachary McCormick ,&nbsp;Timothy P. Maus ,&nbsp;Clark C. Smith ,&nbsp;David Levi ,&nbsp;the International Pain and Spine Intervention Society's Patient Safety Committee","doi":"10.1016/j.inpm.2024.100538","DOIUrl":"10.1016/j.inpm.2024.100538","url":null,"abstract":"<div><div>This FactFinder presents a brief summary of the evidence regarding the safety of gadolinium-based contrast media (GBCM) for spinal interventions.</div></div>","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100538"},"PeriodicalIF":0.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reddit users’ perspectives on radiofrequency ablation: A data analysis","authors":"Laura Furtado Pessoa de Mendonca,&nbsp;Sebastian Encalada,&nbsp;Johanna Mosquera-Moscoso,&nbsp;Matthew A. Cascio,&nbsp;Alejandro Hallo-Carrasco,&nbsp;Jason Eldrige,&nbsp;Christine L. Hunt","doi":"10.1016/j.inpm.2024.100535","DOIUrl":"10.1016/j.inpm.2024.100535","url":null,"abstract":"<div><h3>Objectives</h3><div>Patients suffering from chronic pain use online platforms, such as Reddit, to engage in personal exchanges while maintaining anonymity. Analysis of comments and questions posted on these online forums provide unique insight into conversations that patients may be having outside of the physician's office regarding pain-relief procedures, specifically radiofrequency ablation (RFA).</div></div><div><h3>Materials and methods</h3><div>Using the Python Reddit Application Programming Interface Wrapper, we identified and screened Reddit users' posts. Analyzed data was organized in a spreadsheet from relevant threads.</div></div><div><h3>Results</h3><div>A comprehensive analysis was conducted on a total of 142 threads, encompassing 1676 comments and sub-comments from four forums. The authors claimed to be patients in most threads (n = 137), with more negative (n = 32) than positive (n = 7) threads due to pain improvement expectations and insurance issues. Categorically, eleven users would recommend RFA against nine who wouldn't. Out of 577 relevant comments, the majority addressed pain (n = 405). Among them, 187 comments mentioned pain improvement after RFA, while 130 reported no improvement, in a few cases, patients blamed their physicians (n = 4). Twenty-nine comments referred to medial branch block, with five expressing negative opinions. Ninety-six comments centered around duration of pain relief, varying from 4 days to 36 months, and it was shorter than expected in fifteen cases. Adverse events (n = 36) such as arachnoiditis, headaches, itching, and worsening pain were mentioned. Additionally, some comments discussed pain experienced during the procedure (n = 21). Other comments included inquiries regarding local atrophy, its potential impact on spinal balance, and whether RFA could potentially exacerbate a degenerative process despite providing pain relief.</div></div><div><h3>Conclusions</h3><div>This Reddit analysis offered valuable insights into the patients' perspective on RFA for chronic pain relief, including unusual concerns. Our findings are limited by the platform's anonymous nature, selection bias towards negative experiences and vulnerability to external manipulation. Despite these constraints, by understanding what patients may be reading about the experiences of others undergoing these procedures, physicians may engage in a more informed discussion with patients about RFA.</div></div>","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100535"},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11728887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medicare reimbursement for interventional pain procedures: 2000 to 2023","authors":"Alexander M. Park ,&nbsp;Aditya Khurana ,&nbsp;Roger R. Wang ,&nbsp;Adam E.M. Eltorai","doi":"10.1016/j.inpm.2024.100526","DOIUrl":"10.1016/j.inpm.2024.100526","url":null,"abstract":"<div><h3>Background</h3><div>An analysis of the financial trends of Interventional Pain (IP) procedures in the United States is lacking. Understanding these relations is necessary to help optimize future IP care delivery and costs.</div></div><div><h3>Objective</h3><div>To examine Medicare reimbursement trends for IP procedures in both facility and non-facility settings.</div></div><div><h3>Methods</h3><div>Utilizing the Physician Fee Schedule Look-Up Tool from the Centers for Medicare and Medicaid, reimbursement data for 32 of the most performed IP procedures was collected between 2000 and 2023 for both facility and non-facility clinical sites. After adjusting for inflation, annual change, total percent change, and compound annual growth rate (CAGR) were calculated for each procedure.</div></div><div><h3>Results</h3><div>Following inflation adjustments, the average reimbursement rate decreased by an average of 61.31 % for facility procedures over the study period and by 60.40 % for non-facility procedures. The average adjusted reimbursement rate for facility procedures decreased by $6.76 per year with an average CAGR of −4.38 %, while the average adjusted reimbursement rate for non-facility procedures decreased by $18.66 per year with an average CAGR of −4.48 %. A two-tailed <em>t</em>-test was performed between facility and non-facility groups for total percent change (P = 0.803), annual change (<em>P</em> &lt; 0.001), and CAGR (<em>P</em> = 0.746).</div></div><div><h3>Conclusion</h3><div>Medicare reimbursement rates in both facility and non-facility settings have decreased from 2000 to 2023, with non-facility procedures experiencing a significantly larger decrease.</div></div>","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"3 4","pages":"Article 100526"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}